On-scene medical decision making and overtriage-Reference-Cited by-同舟云学术

On-scene medical decision making and overtriage

Published:1993-10 Issue:10 Volume:80 Page:1291-1293
ISSN:0007-1323
Container-title:British Journal of Surgery
language:en
Short-container-title:

Author:

Coats T J¹,Wilson A W¹,Cross F W¹

Affiliation:

1. Helicopter Emergency Medical Service, The Royal London Hospital Trust, Whitechapel Road, London E1 1BB, UK

Abstract

Abstract This study examined whether a hospital-based helicopter trauma service led to ‘overtriage’ of patients back to the multispecialty base hospital. All accident-site triage decisions made during 1991 were studied. Seven of the 574 decisions (1·2 per cent) led to inappropriate movement of the patient to a specialist centre. Twenty-six decisions (4·5 per cent) were based on mechanism of injury alone and the possibility of overtriage by this method is discussed. A trained doctor can select the correct destination for a patient with trauma without inappropriately using the base hospital in preference to local centres.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

http://academic.oup.com/bjs/article-pdf/80/10/1291/37106365/bjs1800801023.pdf

Reference27 articles.

1. Systems of trauma care – a study of two counties;West;Arch Surg,1979

2. Helicopter emergency medical service – HEMS One;Earlam;Ann R Coll Surg Engl,1989

3. Trauma scoring methods;Smith;Br J Hosp Med,1990

4. Field triage of trauma patients;Champion;Ann Emerg Med,1982

5. The utility of physiological status, injury site, and injury mechanism in identifying patients with major trauma;Cottington;J Trauma,1988

Cited by 23 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Overutilization of Helicopter Emergency Medical Services in Central Gulf Coast Region Results in Unnecessary Expenditure;Journal of Surgical Research;2022-05

2. A patient-safety and professional perspective on non-conveyance in ambulance care: a systematic review;Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine;2017-07-17

3. Development and Validation of the Air Medical Prehospital Triage Score for Helicopter Transport of Trauma Patients;Annals of Surgery;2016-08

4. Air ambulance tasking: mechanism of injury, telephone interrogation or ambulance crew assessment?: Table 1;Emergency Medicine Journal;2014-12-19

5. An Evidence-based Guideline for the Air Medical Transportation of Prehospital Trauma Patients;Prehospital Emergency Care;2013-11-26